Organization Active NPI

Advant Dental PA

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1700117728
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21289 Issued in TX
Legal business name
ADVANT DENTAL PA
Practice address
1550 S Custer Rd Ste 100
McKinney, TX 75070-6435
Phone
(972) 346-2992
Fax
(972) 347-9960
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mojan E Safavi, DDS
Title
President
Phone
(972) 346-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21289 TX Primary

Addresses

Primary practice location

1550 S Custer Rd Ste 100
McKinney, TX 75070-6435

Mailing address

5729 Lebanon Rd Ste 144
Box 347
Frisco, TX 75034-7259
Phone (972) 346-2992

National Provider Directory

National Provider Directory
Tax ID family
Advant Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1700117728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 144",
            "address_2": "BOX 347",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347259",
            "telephone_number": "972-346-2992",
            "fax_number": "972-347-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S CUSTER RD STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706435",
            "telephone_number": "972-346-2992",
            "fax_number": "972-347-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANT DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "SAFAVI",
        "authorized_official_first_name": "MOJAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-346-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.